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Meckel’s Diverticulum

  • François VarletEmail author
  • Sophie Vermersch
  • Nasser Bustangi
  • Manuel Lopez
  • Aurélien Scalabre
Chapter

Abstract

The Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract. It has an ileal mucosa, but heterotopic mucosa can be found, and then 80–85 % of the ectopic tissue is gastric mucosa, sometimes associated with pancreatic tissue. Heterotopic mucosa is often responsible for complications as bleeding or diverticulitis, but small bowel obstruction is the most frequent clinical manifestation of MD. Technetium 99m pertechnetate scintigraphy and CT scan are the principal imaging means. The treatment of a symptomatic MD is resection. Laparoscopicassisted diverticulectomy and segmental ileal resection are now the usual procedures to treat MD. When incidental MD is identified, no prophylactic resection is recommended because leaving an incidental MD in situ reduces the risk of postoperative complications without increasing late complications.

Keywords

Small Bowel Obstruction Pancreatic Tissue Ectopic Gastric Mucosa Ectopic Tissue Vitelline Duct 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • François Varlet
    • 1
    Email author
  • Sophie Vermersch
    • 1
  • Nasser Bustangi
    • 1
  • Manuel Lopez
    • 1
  • Aurélien Scalabre
    • 1
  1. 1.Department of Pediatric SurgeryCentre Hospitalier UniversitaireSaint-EtienneFrance

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